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作 者:林芳芳 陈欣[2] 李瑞杰 LIN Fang-fang;CHEN Xin;LI Rui-jie(Department of Emergency,the First Affiliated Hospital of Henan University of Traditional Chinese Medicine,Zhengzhou 450000,China;Department of Combination of Medical Care and Elderly Care,the First Affiliated Hospital of Henan University of Traditional Chinese Medicine,Zhengzhou 450000,China)
机构地区:[1]河南中医药大学第一附属医院急诊科,郑州450000 [2]河南中医药大学第一附属医院医养结合发展部,郑州450000
出 处:《四川解剖学杂志》2023年第2期128-130,共3页Sichuan Journal of Anatomy
摘 要:目的:分析膳食营养及适量运动护理方案对老年肌肉减少症患者的效果.方法:选取2020年1月至2021年12月本院收治的126例老年肌肉减少症患者作为研究对象,采用随机数字表法将其分为研究组(n=63,采取膳食营养及适量运动护理方案)和对照组(n=63,采取常规护理方案).比较两组患者的骨骼肌功能、营养学相关指标及日常生活能力.结果:干预后,研究组患者肌肉质量、骨骼肌质量指数,均高于对照组患者,而5次起坐试验时间短于对照组,差异均有统计学意义(P<0.05).干预后,研究组患者人体质量指数(BMI)、小腿围、上臂肌围、血红蛋白(Hb)及血清白蛋白(ALB)水平,均高于对照组,差异均有统计学意义(P<0.05).两组患者干预后日常生活量表(ADL)评分均较干预前增高,且研究组患者ADL评分显著高于对照组,差异均有统计学意义(P<0.05).结论:对老年肌肉减少症患者进行膳食营养及适量运动护理,能明显地改善患者营养状况,提高患者骨骼肌肌肉量,值得临床进一步推广应用.Objective:To analyze the effects of dietary nutrition and moderate exercise nursing program on elderly patients with sarcopenia.Methods:A total of 126 elderly patients with sarcopenia who were treated in our hospital from January 2020 to December 2021 were collected as the research objects,and by a random number table method they were divided into the study group(n=63,treatment by dietary nutrition and moderate exercise nursing)and the control group group(n=63,treatment by conventional nursing).The skeletal muscle function,nutritional indicators and activities of daily living were compared.Results:After the intervention,the muscle mass and skeletal muscle mass index of the patients in the study group were higher than those in the control group,while the 5-up test time in the study group was shorter than that of the control group(P<0.05);after the intervention,the body mass index(BMI),calf circumference,upper arms muscle circumference,and the levels of hemoglobin(Hb)and serum albumin(ALB)in the study group were higher than those in the control group(P<0.05).The activity of daily living scale(ADL)scores in the two groups were decreased after intervention than those before the intervention,and the ADL score of the study group was significantly higher than that of the control group(P<0.05).Conclusion:Dietary nutrition and moderate exercise nursing program on elderly patients with sarcopenia can significantly improve the nutritional status of patients and increase skeletal muscle mass,which is worthy of clinical application.
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